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<br />following seMces (fir an ,
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<br />~~, M1,t You $ .~~~ Ramq wt0 arrow to wfrom the aisle wu deuvand and the date
<br />I also wish to receive the _ ~ -_ -
<br />following services (tor an .. .. _ ~ ~ .
<br />Extra fee): °o . ~ „ ..
<br />1. ^ Addressee's Address Z
<br />2. ^ Restrided Delivery in
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<br />,a2sesv-ea,>s Domestic Retum Receipt
<br />etPt D~ ytd ce ~`"'~ ~~arP a °d na ua m~ m PS Form 3811, December 1994 ~.
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<br />pejef" to the nW" to a" ash0 ~e items t anNw z for etldieorW aarwcea. I also wish to receive the .
<br />EgZED e~acenl addressee. °` l of the aNde' a Iro^l of lYUS .ae nettle ell addreee on the revue„ of Cue lortn eo Cut we can raven We following seMCes (tor an
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<br />~estnn DDE11vEFY. °ntheh Pnale sV~ demtot Form nett ~ldt ~o bnn MCa frau ache aWlgeoe, or an Vte bade it extra fee):
<br />~SPIGtE .1n me aPP le n1o~ Perntit• apace does na 1. ^ Addressee's Address ~
<br />sell°°s ~ ~adw°kd10 aPP{~ n. .TM Ra m Receiq will rhow~whom thetla ertld wee dewllvaraECand Ne daee 2. ^ Resbided Delivery N
<br />~l,s reaue' a, mare an' - ~~ ddMred. Consult postmaster for tee.
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<br />^d Pteser`tddY ~ ~ 3. ANGe Addressed to: . \ 4a. Artlcle Number ¢ ;
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<br />~a~>J~ ~ lp $070'x- ~.'3 .S.lo, ^ ReWm Receipt tar Merdlertrlise ^ COO
<br />7. Date of Delivery
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<br />5. Received By: (Print Name) 8. Adtlressea's Addre (Only i1 requested c :
<br />and lee is paid) F
<br />~ 6. Sig lure: (A o; Agent)
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<br />PS Form 3811, December lase ,02595-9]-60,)9 Domestic Return Receipt
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